| NPI | 1154796241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG 60669340) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MG6069340) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2021-03-24 |